Invite You To Our
21st Annual
John N. Sturdivant Virtual Awards Brunch
Honoring an awardee for his/her lifetime commitment to the Labor community and Democratic ideas & values.
With special guest
Congressman Gerry Connolly
and other elected officials.
We will also present our 11th District Community Service Awards:
Joseph V Gartlan Award (Fairfax County)
Deloris Hampton Award (Prince William County)
Frederick W Silverthorne Award (Fairfax City)
Sunday, April25th, 2021, 11:00am – 1:00pm
Due to the pandemic CD11 is partnering with a local deli to include a brunch box with every ticket purchased (Pick up location will be emailed)
Cost: $45 Young Dems, $60 per person ($75 after 11am, Saturday April 24th)
Table of 10 Sponsor: $800
Additional VIP Sponsor Levels: $120| $300| $450| $1400
Reservations: https://secure.actblue.com/donate/sturdivant21 or use the form on the back of this flyer
Congressman Connolly is appearing as a special guest and will not be accepting contributions at this event.
Authorized by Virginia’s 11th Congressional District Democratic Committee (www.11thdistrictdemocrats.org), Robert Haley, Chair
Virginia’s 11th Congressional District Democratic Committee’s 19th Annual Sturdivant Awards Brunch
Registration Form
Pay online at www.11thdistrictdemocrats.org/sturdivant21or complete and mail this form: Rachel Rifkind, 4104 Daniels Ave #101, Annandale, VA 22003.
Nonfederal Campaign Committees, corporations, LLCs, and unions must pay by check. Name Street Address City State Zip
Home Phone Work Phone Cell Phone
Email Address Occupation Employer Name Employer City & State
Guest Names:
Ticket and Sponsorship Levels
_____ Patron Host: $1400 – 2 Virtual Table (10 tkts ea) plus special recognition
_____ Host: $800 – 1 Virtual Table (10 tkts) plus special recognition
_____ Benefactor: $450 – 5 tkts plus special recognition
_____ Contributor: $300 – 3 tkts plus special recognition
_____ Sponsor: $120-– 1 tkts plus special recognition
_____ Individual Ticket: $60 (After 11 am Sat April 24th $75)
_____ YD (35 and under) Ticket: $45 (After 11 am Sat April 24th $60)
Unfortunately I am unable to attend, but please accept my contribution of $
Payment Options
Enclosed is my check in the amount of $ payable to 11th CDDC.
I prefer to pay with my personal credit card:__ Visa __ MasterCard__ Amex __ Disc
Name as it appears on the credit card ___________________________
Credit Card Number _____________________ Exp. Date ________________
Signature ____________________________ Signature Date_____________
Federal law requires us to use our best efforts to collect the name, address, occupation & name of the employer of individuals whose contributions exceed $200 in a calendar year. Contributions to the 11th CDDC are not deductible for federal or state income tax purposes. Individual and federal PAC contributions will be used in connection with federal congressional elections and are subject to the limitations and prohibitions of the Federal Election Campaign Act. Contributions from other donors & nonfederal PACs will be used for state and local elections.
Congressman Connolly is appearing as a special guest and will not be accepting contributions at this event.
Authorized by Virginia’s 11th Congressional District Democratic Committee (www.11thdistrictdemocrats.org), Robert Haley, Chair